Healthcare access is a highly reported problem for immigrant populations in the United States, especially for Hispanic migrants at the US-Mexico border. This statement holds particularly true for populations living in unincorporated communities known as colonias in the borderland region. Residents of a colonia are estimated to suffer from preventable or treatable illnesses including tuberculosis, hepatitis A, cholera, hypertension, type 2 diabetes, depression, substance abuse, among other health problems, at two to four times the national average (Matthiesen 1997; Anders et al. 2010:366; Mier et al. 2013:208; Sharkey et al. 2011; Davidhizar 1999). This apparent disparity is a result of unequal healthcare access due to social, legal, economic, and physical/spatial barriers. Using a structural violence framework as a lens, this study attempted to determine the barriers impeding access to healthcare for colonia residents, as well as analyze the interrelationships between the types of barriers. This study utilized semi-structured interviews to gain an understanding of perceived social, legal, spatial/physical, and other suggested barriers preventing healthcare access in El Paso County, TX colonias. In order to fully demonstrate the role of spatial/physical barriers on access to care, this study utilized Geographic Information Systems (GIS) to map obstacles in the targeted communities.
|Commitee:||Anthamatten, Peter, Brett, John|
|School:||University of Colorado at Denver|
|School Location:||United States -- Colorado|
|Source:||MAI 56/04M(E), Masters Abstracts International|
|Subjects:||Cultural anthropology, Geographic information science, Public health|
|Keywords:||Anthropology, Colonias, GIS, Medical anthropology, Migrant health, Network analysis|
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